Public Notice - End of ND Medicaid's Primary Care Case Management Program

Effective on or after January 1, 2024, pursuant to 2023 House Bill 1044, North Dakota Medicaid will be ending the Primary Care Case Management (PCCM) program. Providers will not be required to obtain a referral from a primary care provider (PCP) for instate services. Any service authorization requirements for instate and out-of-state services will still apply. Medicaid expenditures are expected to have a minimal impact for a 12-month period.

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Public Notice - Medicaid State Plan Alternative Benefit Plan Updates

The benefits for ND Medicaid Expansion, as required by the Affordable Care Act and section 1937 of the Social Security Act, are provided through an Alternative Benefit Plan (ABP). Effective for dates of service on or after July 1, 2023, ND Medicaid will be submitting a state plan amendment which will clarify language for existing benefits, specifically as they related to those under the age of 21. 

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